Endometrial Infection in Women with Chlamydia1 Salpingitis

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Abstract
Endometrial contents collected by a protected aspiration method from 18 women with acute salpingitis were studied by culture. Chlamydia trachomatis was recovered from the endometrial samples of 8 women and from the cervix of 6 of them. C. trachomatis was isolated from the cervix, but not from the endometrium, of 7 women. Twelve of the 15 patients who harbored C. trachomatis in the genital tract developed a significant antibody response to the organism. Evidently, C. trachomatis spreads canalicularly from the cervix to the fallopian tubes; this organism may cause endometrial infection.